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Self-injury recovery: A person-centered framework.

Stephen P Lewis1, Penelope A Hasking2

  • 1Department of Psychology, University of Guelph, Guelph, Ontario, Canada.

Journal of Clinical Psychology
|December 9, 2020
PubMed
Summary

Non-suicidal self-injury (NSSI) recovery is more complex than just cessation. A new framework highlights multifaceted aspects like self-efficacy, self-acceptance, and addressing underlying issues for improved wellbeing.

Keywords:
NSSIperson-centeredrecoveryself-harmself-injury

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Area of Science:

  • Psychology
  • Mental Health Research

Background:

  • Non-suicidal self-injury (NSSI) recovery is gaining research interest.
  • Current operationalization of NSSI recovery often focuses solely on cessation, measured by time since last self-injury.
  • Lived experience perspectives reveal NSSI recovery is significantly more complex than cessation alone.

Purpose of the Study:

  • To propose a new, multifaceted framework for conceptualizing non-suicidal self-injury recovery.
  • To integrate empirical research with the lived experiences of individuals with NSSI.
  • To offer a more comprehensive understanding of NSSI recovery beyond mere abstinence.

Main Methods:

  • Drawing on recent empirical work and qualitative data from individuals with lived experience of NSSI.
  • Developing a novel conceptual framework for NSSI recovery.
  • Analyzing components of recovery as reported by individuals with lived experience.

Main Results:

  • NSSI recovery is nonlinear and multifaceted, not solely defined by time since last injury.
  • Key components of recovery include: realistic expectations, normalizing urges, self-efficacy, strengths, alternatives, addressing adversities, scar acceptance, disclosure navigation, and self-acceptance.
  • The proposed framework offers a richer understanding of the recovery process.

Conclusions:

  • A new framework provides a more complete understanding of non-suicidal self-injury recovery.
  • This framework emphasizes multifaceted aspects beyond cessation, promoting wellbeing and resilience.
  • Clinical and research practices should adopt this comprehensive view to better support individuals with NSSI.